Individual provider · Type 1 NPI

Laiz Laura De Godoy, MD

Diagnostic Radiology Physician · Philadelphia, PA

NPI number 1265123285 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4206

Call (215) 662-3000 Map

Fax (215) 662-7011

Other practice locations

  • 4701 Pine St Apt K10, Philadelphia, PA 19143-1880 · (267) 275-2085

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X25MA12625400 (NJ)
Diagnostic Radiology Physician Primary 2085R0202XMD489789 (PA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1265123285

Laiz Laura De Godoy, MD's National Provider Identifier is 1265123285, issued on May 19, 2023. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 14, 2025.